Burns as the Outlier in Early Enteral Nutrition in Critical Illness
| Autor: | Justin J. Webb, Matthew C. Bozeman, Elizabeth H. Bruenderman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
education.field_of_study business.industry Inflammatory response Gold standard Population 030230 surgery Enteral administration 03 medical and health sciences 0302 clinical medicine Permissive underfeeding Parenteral nutrition 030220 oncology & carcinogenesis Critical illness medicine Surgery Severe burn Intensive care medicine education business |
| Zdroj: | Current Surgery Reports. 8 |
| ISSN: | 2167-4817 |
| DOI: | 10.1007/s40137-019-0246-9 |
| Popis: | Severe burn injuries result in a number of physiologic and metabolic derangements that make nutritional support an especially critical and challenging component of burn patient's treatment. This article aims to review the current literature regarding early enteral nutrition in burn patients. Early enteral feeding is thought to be an important component of modulating the hypermetabolic and inflammatory response seen in critical illness. This dogma has been questioned by studies indicating that permissive underfeeding in the first phase of critical illness might be of benefit. However, these studies lack stratification to evaluate outcomes in the burn population, specifically. Studies that do evaluate early enteral nutrition in the burn population have revealed reduced morbidity and mortality with this nutrition strategy. The hypermetabolic response that occurs in severe burns makes this form of injury unique. Evidence supports early enteral nutrition as the gold standard in this population. Future advances in the field of nutrition must be evaluated in the burn population, specifically, before being applied to patients with this form of critical illness. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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